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Yale New Haven Health System

Are your feet trying to tell you something?

Mountain Runner

Your feet carry you through thousands of steps every day, yet they’re often overlooked until pain or discomfort becomes impossible to ignore. While occasional soreness after a long day may be normal, persistent symptoms can signal an underlying problem requiring professional care, said Irvin Oh, MD, associate professor of Orthopaedics and Rehabilitation, Yale School of Medicine.

“Ignoring foot problems can lead to more severe complications,” he said. “Recognizing the warning signs early is critical to maintaining your foot health. Early treatment can help prevent chronic pain and mobility issues.”

Early signs of foot or ankle problems

  1. Persistent pain: Don’t ignore pain that lasts more than a few days, returns frequently or interferes with daily activities. Sharp pain in the heel, especially when taking your first steps in the morning, could indicate plantar fasciitis or a nerve entrapment. Pain on the medial, lateral or posterior ankle or foot when standing or walking may signal an underlying tendon disorder. Ongoing discomfort may also be linked to conditions such as arthritis, tendon injuries or stress fractures. 
  2. Unexplained swelling or redness: These can signal injury, infection, inflammation, arthritis, circulation problems or another underlying condition. Seek an evaluation if these symptoms persist despite rest and elevation or are accompanied by increasing pain, warmth or difficulty walking.
  3. Changes in foot shape: A flattening arch, developing bunion, hammertoe or other structural changes can worsen if untreated. Early intervention may reduce the need for surgery later. 
  4. Prolonged or recurrent pain after a previous injury: Don’t ignore ongoing foot or ankle pain following a previous injury such as a sprain or fracture. Some past injuries can be associated with an underlying tendon disorder, cartilage damage or post-traumatic arthritis. A follow-up evaluation can help identify these conditions early and guide appropriate treatment to prevent further damage and improve long-term function.
  5. Numbness, tingling or burning: These symptoms may indicate nerve compression, poor circulation or neuropathy. They are particularly important for people with diabetes, who face a greater risk of foot complications. 
  6. Instability or difficulty walking or standing: Changes in gait, balance problems, difficulty bearing weight or instability in the foot or ankle may point to structural issues, injuries or joint problems. 
  7. Wounds or sores that won’t heal: Recurrent blisters or ulcers that don't heal properly can become serious, especially in people with diabetes or circulation disorders. If they are associated with an underlying foot deformity, such as bunions or hammertoes, addressing the underlying structural disorder may help resolve the issue. Prompt treatment can help prevent infection and other complications.

Tips for preventing foot and ankle problems

  • Wear properly fitting shoes with adequate room, support and cushioning.
  • Consider wearing orthotics or an ankle brace for the type of foot or ankle problem you have. 
  • Keep feet clean and dry to reduce the risk of fungal infections. If your job requires long hours on your feet, consider bringing an extra pair of shoes and socks to change into during the day. 
  • Maintain a healthy weight to reduce stress on the feet and ankles.
  • Stretch regularly, particularly the calves and plantar fascia, if you're active or spend long hours standing.
  • Inspect your feet frequently, especially if you have diabetes or circulation problems.